Most Relevant Information
Provider Data
| NPI Number: | 1003429424 |
| Provider Name: | NAKIA DANA SQUIREWELL |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/25/2020 |
| Last Updated: | 08/25/2020 |
Provider Practice Location
892 27TH ST
SAN DIEGO
CA
921541444
Practice Location Phone/Fax
| Phone: | 6195754687 |
| Fax: | 6195751215 |
Provider Mailing Location
892 27TH ST
SAN DIEGO
CA
921541444
Provider Mailing Phone/Fax
| Phone: | 6195754687 |
| Fax: | 6195751215 |